2016-11-09T11:28:41-06:00 2015-12-31 221478099 COHNREZNICK LLP 1212 Avenue of the Americas New York NY 10036 990PF 2015-01-01 133759663 RCHN COMMUNITY HEALTH FOUNDATION INC RCHN 2122461122 55 BROADWAY SUITE 1502 NEW YORK NY 10006 feygele jacobs pres & CEO 2122461122 2016-11-08 1 THOMAS LANNING P00851654 2122970400 2015 2017-02-10 21:41:12Z X 21289114 X 1000 X 629 629 602461 602461 621200 8014522 621200 31215 0 1256505 1224290 412353 168363 243990 570788 161614 409174 279189 83301 213227 34843 20867 12772 51906 38930 15983 593126 124312 476340 21920 9680 0 342206 342206 274050 93177 243036 54230 0 54230 3582 0 3582 144073 48982 92851 2782266 1091432 1765185 1344166 878401 4126432 1091432 2643586 -2869927 132858 1224470 996666 996666 353834 302648 302648 8762434 5859514 5859514 1462704 1704332 1704332 13713109 12074123 12074123 3246076 2894245 691853 351831 351831 15954 0 0 26224358 21289114 21289114 608777 1019126 81468 69883 690245 1089009 X 25534113 20200105 25534113 20200105 26224358 21289114 25534113 -2869927 0 22664186 2464081 20200105 publicly traded securities 8014522 7393322 621200 621200 621200 0 3385050 26898197 0.125847 3177550 27970934 0.113602 4034403 29636227 0.136131 0.375580 0.125193 23138058 2896723 1329 2898052 2643586 2657 0 2657 0 2657 12240 12240 9583 9583 0 0 0 0 0 0 0 0 0 0 0 1 1 NY 1 0 0 0 0 1 WWW.RCHNFOUNDATION.ORG Igor Goldenberg 2122461122 55 Broadway Suite 1502 New York NY 10006 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 DAVID REYNOLDS 55 broadway suite 1502 New York NY 10006 BOARD MEMBER 1.00 0 0 0 feygele jacobs 55 broadway suite 1502 New York NY 10006 president & CEO 35.00 311930 78385 0 igor goldenberg 55 broadway suite 1502 New York NY 10006 cfo 35.00 100423 17785 0 LONNY REISMAN MD 55 broadway suite 1502 New York NY 10006 BOARD MEMBER 1.00 0 0 0 M MONICA SWEENEY MD 55 broadway suite 1502 New York NY 10006 BOARD MEMBER 1.00 0 0 0 MARTHA WOLFGANG 55 broadway suite 1502 New York NY 10006 BOARD MEMBER 1.00 0 0 0 SAMUEL DANIEL MD 55 broadway suite 1502 New York NY 10006 FORMER VICE CHAIR/TREASURER 1.00 0 0 0 SARA ROSENBAUM ESQ 55 broadway suite 1502 New York NY 10006 CHAIRPERSON 1.00 0 0 0 THOMAS VAN COVERDEN 55 broadway suite 1502 New York NY 10006 SECRETARY 1.00 0 0 0 DAVID HARTZBAND 55 broadway suite 1502 New York NY 10006 Director, Technology 30.00 170911 35850 0 MARK BOGOSIAN 55 broadway suite 1502 New York NY 10006 Assoc. Dir-Grants & 35.00 119608 37971 0 BARBARA ALLEN 55 broadway suite 1502 New York NY 10006 finance manager 35.00 118603 28371 0 MARJORIE BOMSON 55 broadway suite 1502 New York NY 10006 MANAGER-ADMINISTRATI 35.00 111787 30498 0 0 Community Counseling Service po box 824885 philadelphia PA 19182 Development 210000 Vshift 99 madison ave 5th fl new YORK NY 10016 Website design/maintenance 75832 COHNREZNICK LLP 1212 AVE OF THE AMERICAS NEW YORK NY 10036 AUDIT AND TAX PREPARATION 63931 MIRRAM GROUP LLC 5030 broadway suite 807 NEW YORK NY 10034 Strategic consulting 60000 0 0 22050144 1440270 0 23490414 0 0 23490414 352356 23138058 1156903 1156903 2657 2657 1154246 0 1154246 0 1154246 2643586 0 2643586 0 2643586 1154246 0 0 2572674 1786666 2064564 6423904 2643586 0 0 0 1154246 1489340 0 0 7913244 0 0 0 0 0 0 0 7913244 2572674 1786666 2064564 1489340 X ACCESS FAMILY CARE 47 NELSON AVENUE Neosho MO 64850 PC POPULATION HEALTH MANAGEMENT GRANT 50000 ADELANTE HEALTHCARE 9520 WEST PALM LANE Phoenix AZ 85037 PC POPULATION HEALTH MANAGEMENT GRANT 49997 ASSOCIATION OF CLINICIANS FOR THE UNDERSERVED 1420 SPRING HILL ROAD SUITE 600 TYSONS CORNER VA 22102 PC CONFERENCE SPONSORSHIP 5000 CALLEN-LORDE COMMUNITY HEALTH CENTER 356 WEST 18TH STREET NEW YORK NY 10011 PC SUPPORT OF CHARITABLE ORGANIZATION 500 CANADIAN ASSOCIATION OF COMMUNITY HEALTH CENTERS 340 COLLEGE STREET SUITE 500 toronto ontario CA PC SUPPORT OF US PARTICIPATION IN INT'L CHC STUDY TOUR 10000 CARE FOR THE HOMELESS 30 EAST 33RD ST 5TH FLOOR NEW YORK NY 10016 PC SUPPORT OF CHARITABLE ORGANIZATION 2500 CHARLES B WANG COMMUNITY HEALTH CENTER 268 CANAL STREET New York NY 10013 PC POPULATION HEALTH MANAGEMENT GRANT 50000 CHINATOWN HEALTH CLINIC FOUNDATION 268 CANAL ST 6TH FLOOR NEW YORK NY 10013 PC SUPPORT OF CHARITABLE ORGANIZATION 2100 COLORADO COMMUNITY HEALTH NETWORK 600 GRANT STREET SUITE 800 Denver CO 80203 PC POPULATION HEALTH MANAGEMENT GRANT 50000 COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE 111 BROADWAY SUITE 1402 New York NY 10006 PC SUPPORT OF CHARITABLE ORGANIZATION 550 COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE 111 BROADWAY SUITE 1402 NEW YORK NY 10006 PC CONFERENCE SPONSORSHIP 3500 COMMUNITY HEALTH OF SOUTH FLORIDA INC 10300 SW 216TH STREET MIAMI FL 33190 PC OUTREACH AND ENROLLMENT GRANT 56587 ERIE COUNTY HEALTH DEPARTMENT 420 SUPERIOR STREET Sandusky OH 44870 PC POPULATION HEALTH MANAGEMENT GRANT 10000 GEIGER GIBSON COMMUNITY HEALTH CENTER 250 MT VERNON STREET Dorchester MA 02125 PC SUPPORT 50th ANNIVERSARY COMMEMORATION 1050 GEORGE WASHINGTON UNIVERSITY 2121 I STREET NW SUITE 601 WASHINGTON DC 20052 PC GIFT TO SUPPORT GEIGER GIBSON PROGRAM 350000 GEORGE WASHINGTON UNIVERSITY OFFICE OF THE VP RESEARCH 2121 I STREET NW SUITE 601 WASHINGTON DC 20052 PC STUDY IMPACT OF HEALTH CARE REFORM IN PUERTO RICO 56742 GEORGE WASHINGTON UNIVERSITY OFFICE OF THE VP RESEARCH 2121 I STREET NW SUITE 601 Washington DC 20052 PC white paper on population health 25500 GEORGE WASHINGTON UNIVERSITY OFFICE OF THE VP RESEARCH 2121 I STREET NW SUITE 601 WASHINGTON DC 20052 PC POPULATION HEALTH MANAGEMENT GRANT 12000 HIMSS FOUNDATION 230 EAST OHIO ST SUITE 500 CHICAGO IL 60611 PC SUPPORT OF CHARITABLE ORGANIZATION 5000 HRHCARE FOUNDATION 55 SOUTH BROADWAY TARRYTOWN NY 10591 PC SUPPORT OF CHARITABLE ORGANIZATION 2500 HUDSON HEADWATERS HEALTH FOUNDATION 9 CAREY ROAD QUEENSBURY NY 12804 PC SUPPORT OF CHARITABLE ORGANIZATION 1500 HUDSON HEADWATERS HEALTH NETWORK 9 CAREY ROAD Queensbury NY 12804 PC POPULATION HEALTH MANAGEMENT GRANT 50000 INTERNATIONAL RESCUE COMMITTEE 122 EAST 42nd STREET New York NY 10168 PC SUPPORT OF CHARITABLE ORGANIZATION 750 MAINE PRIMARY CARE ASSOCIATION 73 WINTHOP STREET AUGUSTA ME 04330 PC OUTREACH & ENROLLMENT GRANT 7500 MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT STREET 10th FL Boston MA 02108 PC SUPPORT 50th ANNIVERSARY COMMEMORATION 5000 NEW YORK ASSOCIATION FOR AMBULATORY CARE 150 VETERANS MEMORIAL HIGHWAY 406 Commack NY 11725 PC SUPPORT OF CHARITABLE ORGANIZATION 625 NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION 6512-23RD AVE NORTHWEST SUITE 305 SEATTLE WA 98117 PC CHC LEADERSHIP TRAINING PROGRAM 15000 OPEN DOOR FAMILY MEDICAL CENTER 165 MAIN STREET Ossining NY 10562 PC SUPPORT OF CHARITABLE ORGANIZATION 750 PRIMARY CARE DEVELOPMENT CORP 45 BROADWAY SUITE 530 NEW YORK NY 10006 PC SUPPORT OF CHARITABLE ORGANIZATION 2500 PUBLIC HEALTH SOLUTIONS 40 WORTH ST 5TH FLOOR NEW YORK NY 10013 PC SUPPORT OF CHARITABLE ORGANIZATION 500 SANTA ROSA COMMUNITY HEALTH CENTERS 3569 ROUND BARN CIRCLE Santa Rosa CA 95403 PC POPULATION HEALTH MANAGEMENT GRANT 50000 URBAN HEALTH PLAN INC 960 SOUTHERN BOULEVARD BRONX NY 10459 PC SUPPORT OF CHARITABLE ORGANIZATION 750 878401 ACCESS FAMILY CARE 47 NELSON AVENUE Neosho MO 64850 PC POPULATION HEALTH MANAGEMENT GRANT 100000 ADELANTE HEALTHCARE 9520 WEST PALM LANE Phoenix AZ 85037 PC POPULATION HEALTH MANAGEMENT GRANT 99994 CHARLES B WANG COMMUNITY HEALTH CENTER 268 CANAL STREET New York NY 10013 PC POPULATION HEALTH MANAGEMENT GRANT 100000 COLORADO COMMUNITY HEALTH NETWORK 600 GRANT STREET SUITE 800 Denver CO 80203 PC POPULATION HEALTH MANAGEMENT GRANT 100000 ERIE COUNTY HEALTH DEPARTMENT 420 SUPERIOR STREET Sandusky OH 44870 PC POPULATION HEALTH MANAGEMENT GRANT 10000 HUDSON HEADWATERS HEALTH NETWORK 9 CAREY ROAD Queensbury NY 12804 PC POPULATION HEALTH MANAGEMENT GRANT 100000 MAINE PRIMARY CARE ASSOCIATION 73 WINTHOP STREET Augusta ME 04330 PC OUTREACH & ENROLLMENT GRANT 7500 SANTA ROSA COMMUNITY HEALTH CENTERS 3569 ROUND BARN CIRCLE Santa Rosa CA 95403 PC POPULATION HEALTH MANAGEMENT GRANT 100000 617494 14 629 14 602461 18 621200 reversal of tax accrual 31215 0 1224290 31215 1255505 11a AMOUNT IS A REVERSAL OF PRIOR YEAR TAX accrual 0 1 0 0 0 0 0 0 0 1a(2) 15954 rchn community health foundation support corp inc Change in due to due from between related organizations. 1 rchn community health foundation support corp inc 501(c)(4) The organization is the sole member of rchn community health foundation support corp, inc. COHNREZNICK LLP 51906 38930 15983 LEASEHOLD IMPROVEMENTS 2012-01-01 2368053 1964527 SL 10.000000000000 238298 238298 FURNiture & FIXTURES 2012-01-01 630412 457165 SL 10.000000000000 66775 66775 EQUIPMENT 2012-01-01 247611 130347 SL 5.000000000000 37133 37133 CANADIAN ASSOCIATION OF COMMUNITY HEALTH CENTERS 340 COLLEGE STREET SUITE 500 toronto ontario CA 2015-02-19 10000 SUPPORT OF THE INTERNATIONAL COMMUNITY HEALTH CENTER 2015 STUDY TOUR. 10000 2015-02-19 The foundation has no reason to doubt the accuracy or reliability of the reports from the grantee. form 990-pf, part vii-B, line 1a(4): OFFICERS FEYGELE JACOBS AND IGOR GOLDENBERG RECEIVED COMPENSATION FOR THE YEAR ENDING DECEMBER 31, 2015. THIS AMOUNT REPRESENTS PAYMENT FOR THEIR SERVICES WITH REGARD TO THE FOUNDATION AND THE SERVICES IT PROVIDES. THIS MEETS THE EXCEPTION AND IS CONSIDERED REASONABLE, AND THEREFORE FORM 4720 IS NOT PREPARED. FIXED INCOME 1704332 1704332 Equities 5859514 5859514 ALTERNATIVE INVESTMENTS FMV 1864767 1864767 Investment in CHA/CHV FMV 524915 524915 Mutual Funds FMV 9684441 9684441 LEASEHOLD IMPROVEMENTS 2368053 2202825 165228 165228 FURNiture & FIXTURES 630412 523940 106472 106472 EQUIPMENT 247611 167480 80131 80131 SMITH & DOWNEY 6610 6610 0 MANATT PHELPS & PHILLIPS LLP 2000 1000 440 WHITEMAN OSTERMAN & HANNA LLP 814 0 517 HIRSCHEN SINGER & EPSTEIN LLP 700 700 0 Dechert 24325 12163 11815 Feldesman tucker leifer 394 394 0 Due From Related Parties 15954 Unrealized Loss 2464081 INSURANCE 37592 12781 22770 INFORMATION TECHNOLOGY EXPENSES 44019 14966 28855 DUES AND MEMBERSHIPS 6730 0 6730 TELEPHONE 20794 7070 13724 Other Expenses 34938 14165 20772 reversal of tax accrual 31215 31215 deferred Rent 81468 69883 PUBLIC INTEREST MEDIA GROUP 14980 0 14980 MIRRAM GROUP LLC 60000 0 60000 HEALTH TECH STRATEGIES 40425 0 46651 FT SOLUTIONS LLC 26671 0 27971 HEALTH POLICY ASSOCIATES 31656 0 31656 MERRILL LYNCH 124312 124312 0 VSHIFT 63833 0 63833 COMMUNITY COUNSELLING SERVICES 210000 0 210000 Merle Cunningham 21206 0 21206 Dr. David Stevens 43 0 43 Federal Excise Tax 12240 0 0 Foreign Taxes 9680 9680 0